HomeMy WebLinkAbout3350 Teller StreetA41 CITY OF WHEAT RIDGE
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Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
r �
Inspection Type: y /0 -
Job Address: 3 3 SD
Permit Number: '?Q l p a i) -7
c- 1 9 1 I I A I
❑ No one available for inspection: Time I= I % AM/®
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ? Inspector:
s
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time -' r, ' -t AM/FFM
Re -Inspection required: Yes o
f_
When corrections have been made, sc"dd% for re -inspection online at:
httpYlwww. ci. wheatridge. co. usfin on
Date: I n - /,:E'- l IL Inspector: �--
DO NOT REMOVE THIS NOTICE
® 1 City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201902025
PERMIT NO: 201902025 ISSUED: 09/27/2019
JOB ADDRESS: 3350 Teller St EXPIRES: 09/26/2020
JOB DESCRIPTION: SWO Removal of wood paneling on east wall and installing drywall on south
and east wall, and insulation. Installing drywall on ceiling.
*** CONTACTS ***
OWNER (612)616-2668 HARTWELL ERIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
Total Valuation
Plan Review Fee
Use Tax
Permit Fee
Investigative Fees
** TOTAL **
*** COMMENTS ***
ESTIMATED PROJECT VALUATION:
FEES
0.00
39.33
51.43
93.35
93.35
277.46
2,449.00
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit.
NOTE: Consultations and inspections will only be performed with the homeowner of record
present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
,� ,, City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201902025
PERMIT NO: 201902025 ISSUED: 09/27/2019
JOB ADDRESS: 3350 Teller St EXPIRES: 09/26/2020
JOB DESCRIPTION: SWO Removal of wood paneling on east wall and installing drywall on south
and east wall, and insulation. Installing drywall on ceiling.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performecjd that al , w k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER off` CONTRACTOR (Circle one) Date I
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offcial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5_ The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or arry,fi-ardinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
V`I heat j�,ge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
171)sll�
Plan/Permit #
& 0/
Plan Review Fee:
�3
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 33 So Telles S�- Wke0d I& C' . Cly goo '--'Z
Property Owner (please print): ('ai'�1�rr1 n P,u�r t Fr►c Phone:
Property Owner Email: 14whe • V. coy -y-%
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Eng 1 neer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Contractor E-mail Address: '
G
For Plan Review Questions & Comments (please print):
Phone:
Phone: 303 `G 13 _3:7
CONTACT NAME (please print): C&+fQgn e- �'1CuUQ,t� Phone:
CONTACT EMAIL(p/ease print): • �%• �'�'ldlt.11t'�CO�GYY1C�l.� Cpm
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL �] RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
- No
ploof 0
GhanoJe00-n4M� u0006 Pam % ng cm E&F- - VNk L' 1
— nsl� 11 l lyvxO 1 on So tt�and EW- WOL11
tASIVL11 dA4-Jk)011 On W415
ce-A t'% T\51
Sq. FULF 400 BTUs
A,v, d i n-au.la..E-e � �� d -on
n�h-�ro�
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 1500. C�C)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRAC R) . or (A HORIZED REPRESENTATIVE) of (OWNER) _ (CONTRACTOR)
Signature (first and last name): -�/ DATE:
Printed Name: Cart J YLL1L'�
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPA TMENT COMM NTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
CONSTRUCTION TYPE: M6
tZil l
Building Division Valuation: $ Z/ 1 q
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i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:. /_) o
{
❑ No one available for inspecfion �icn,4
Re -Inspection required: Ye No�
When corrections have been ma8+,call for -re --ins
Date
M
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ��
Job Address:`
Permit Number: = ! r -j
❑ No one available for inspection: Time
Re -Inspection required: Yes ;"�No,,�
When corrections have been made, schedule for re -inspection online at:
h ttp://www. ci. wheatridge. co. uslinspection
Date:—! '7 .�7 (' Inspector: r �---
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection 'Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: f2O
Job Address:C..jj , S-1
Permit Number:
X l�.ti L✓� ti }
❑ No one available for inspection: TimerAM/ M
Re -Inspection required: Yes' No
When corrections have been made, call for re -inspection at 303-234-5933
Date:®. ��'� ` Inspector: .42r,._
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _
Job Address: 1�1�
Permit Number:j��,��
❑ No one available for inspection<rTime 'Aj`AM/OM
Re -Inspection required: Yes,'. No/s
When corrections have been made, call for re -inspection at 303-234-5933
Date: j r Inspector:- -----.
f
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201902007
PERMIT NO: 201902007 ISSUED: 09/20/2019
JOB ADDRESS: 3350 Teller St EXPIRES: 09/19/2020
JOB DESCRIPTION: Replace 1 window in laundry room, u -value = .32, like for like
*** CONTACTS ***
OWNER (612)323-6737 HARTWELL ERIC
SUB (770)433-8211 GARY CUMMINGS 170102 HOME DEPOT U.S.A., INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,012.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 42.25
** TOTAL ** 92.25
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by, the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of ay manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit ho ider shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granti f a permit sh 1: not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code ora o . finance or re ation of this jurisdiction. Approval of work is subject to field inspection.
r
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook ao I qN001
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, September 19, 2019 7:06 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Kim
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
**REQUIRED** Attach
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS"
*
3350 Teller St
Eric Hartwell
612 323-6737
Field not completed.
Hartwell cc form - 10928734.pdf
CONTRACTOR INFORMATION
I
Contractor Business Home Depot USA
Name
Contractor's License 170102
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 801 710-2507
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address jamie@reedysetgo.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of window
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the a -value to be .32 or
better on windows..
Attach copy of
window/door cut sheets
showing sizes and u -value
Project Value (contract
value or cost of ALL
materials and labor)
jamie@reedysetgo.com
Laundry room
32
Hartwell specs - 10928734.pdf
2012
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
z
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Jamie Reed
Permit
Email not displaying correctly? View it in your browser.
INSPECTION R CORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occu ancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Concrete Encased Ground (CEG)
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Mid -Roof
Floodplain Inspection (if applicable)
Lath / Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric
Final Electrical
Rough Plumbing/Gas Line
Final Plumbing
Rough Mechanical
Final Mechanical
Rough Framing
Roof
7
r%
Rough Grading
Final Window/Doors
Insulation
.
Final Building
Drywall Screw/ Nail
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
7
r%
Final Window/Doors
.
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201700834
201700834 ISSUED: 05/24/2017
3350 Teller ST EXPIRES: 05/24/2018
Reroof 20 square single ply 1/12 pitch; 6 square presidential 12/12 pitch;
26 squares total
*** CONTACTS ***
OWNER (303)909-7201 ALTENBERN ROBERTA J
SUB (303)466-0161 Bernie Reitz 019543 Reitz Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,200.00
FEES
Total Valuation 0.00
Use Tax 255.60
Permit Fee 283.55
Misc. Fee 10.00
** TOTAL ** 549.15
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€i"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201700834
PERMIT NO: 201700834 ISSUED: 05/24/2017
JOB ADDRESS: 3350 Teller ST EXPIRES: 05/24/2018
JOB DESCRIPTION: Reroof 20 square single ply 1/12 pitch; 6 square presidential 12/12 pitch;
26 squares total
*** CONTACTS ***
OWNER (303)909-7201 ALTENBERN ROBERTA J
SUB (303)466-0161 Bernie Reitz 019543 Reitz Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,200.00
FEES
Total Valuation 0.00
Use Tax 255.60 } �y }
Permit Fee 283.55 CO
...L.Jr €
** TOTAL ** 539.15
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k1/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201700834
PERMIT NO: 201700834 ISSUED: 05/24/2017
JOB ADDRESS: 3350 Teller ST EXPIRES: 05/24/2018
JOB DESCRIPTION: Reroof 20 square single ply 1/12 pitch; 6 square presidential 12/12 pitch;
26 squares total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
a,J
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this erm t I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and thal w to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2, This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requirements, fees and rocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and sha of proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or gr, a` e I no be nstrued to be a permit for, or an approval of, any violation of any provision of any
applicable code o or r f his jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
W heat -Midgeo
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * I:ax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date:
Plan/Pennit # An I To
t'�
Plan Review Fee: I
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
61 1
Property Owner (please print): ; �C ��- �j FC-) �� Phone: 90
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E•. -mail:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone:J
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Descriptio af work; (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ";,RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) �.
Sq. FtJLF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
UWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONT CTOR) or (AUTHORIZED REPRESENTATIVE)
PRINT NAM,—� ` �
b-\ SIGNATURE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
(CONTRACTOR)
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: eor
Job Address: 39S0 712__ UL &z TT
Permit Number: 'Zo 17 00�? 3 LJ
❑ No one available for inspection: Time PM
Re -Inspection required: Yes No
When corrections have been made, call for re-ipapection at 303-234-5933
Date: '� �' Inspector:
DO NOT REMOVE THIS M10TICE
41
1
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: k0F
Job Address: 33 -TO
Permit Number: '2j) %® CFM!Y
❑ No one available for inspecti Time O ZS -0 AM/PM
Re -Inspection required: Yes nNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:_ ��
DO NOT REMOVE THIS NOTICE
i
'CITY OF WHEAT RIDGE
�f Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _
Job Address: 7 -
Permit
Permit Number: a o/-7 3 q
❑ No one available for inspection: Time-�` AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: G ' / 1 Inspector: T
DO NOT REMOVE THIS NOTICE
i
'CITY OF WHEAT RIDGE
�f Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _
Job Address: 7 -
Permit
Permit Number: a o/-7 3 q
❑ No one available for inspection: Time-�` AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: G ' / 1 Inspector: T
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76945
BUILDING INSPECTION LINE -(503-2S459SS) Date : 4/13/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: ROBERTA ALTENBERN
Property Address : 3350 TELLER ST
Contractor License No. : 19814
Phone : 237-6597
Company : Westside Heating and Air Conditioning Inc Phone : 469-4507
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of W heal Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and a9ree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the W heal Ridge Building
Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)SI~NE,TI"~~ DATE 3
Construction Value :
$6,611.00
Permit Fee :
$181.10
Plan Review Fee :
$0.00
Use Tax :
$79•33
Total:
$260.43
Use:
Description : REPLACE FURNACE WITH 100,000 BTU FURNACE. INSTALL NEW 3 TON A/C UNIT
BUILDING DEPARTMENT USE ONLY
Zqn~h9 Q6fi b: SIC : St~' _'~v
Approval :
Zoning :
Approval :
.
Publi~l►orks .nts:.
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 20724 Plumbing License No : Mechanical License No : 19814
Company : W ESTCO ELECTRIC, Company : Company : Westside Heating and
INC. Air Conditioning Inc
Expiration Date : 2/28/2005 Expiration Date : Expiration Date : 4I29I2005
Approval : OKIKS Approval : Approval : OKIKS
(1) This pemit was issued in accordance with ihe provisions set forth in yopur application and is subject to the laws of the State of Colorado ana to the Zoning
Repulations and Building Code of W heat Ridge, Colorado or any other applicable orUinances of the Ciry.
(2) This pemit shall expire if (A) the work aulhorized is not wmmenced within sixly (80) days from issue date or (B) the building authorizetl is suspendetl or
abandoned for a period of 120 days.
(3) If this pemit expires, a new pemit may be acquired (or a fee of one-half the amount nortnally required, provided no changes have been or will be made in the
original plans and specificalions and any suspension or abantlonment has not ezceeded one (7) year. I/ changes are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change the naturel Flow otwater wusing a drainage problem.
(5) Contredor shall notify ihe Building Inspector iwenty-four (24) hours in advance tor all inspections and shall receive wntten approval on inspeclion card betore
proceediing with successive phases of the job.
(6) The issuance of a pemit or the approval of drawings and specifcations shall no[ be construed to be a permit for, nor an approval of, any violation of the
provisio~nrys of the buildIi~ng w`des or any other ordinance, law, rule or regulation.
4 i•.o~ 1/I ` ~hnar Adu-
Chief Buildin'g Inspector
Please sign Terms and Conditions on reverse side of page.
' oF wHE~r I7EPARTMENT OF PLANNING AND DEVELOPMlNT
a BUII.DING INSPECTION LIlVE - 303-234-5933
` °Lf CITY OF WFtEAT RIDGE
U tn
7500 WEST 29TH AVENUE
~o<oano° R'HEAT RIDGE, CO 80215 -(303-235-285~
~PLtCATION
BuIldingPemutNumber. " .
Date:
Property owner: Raobc6 A6\ A t l-cNh r c-
Property Address: 3 3 S 6 E 11 tS 5~,
Contractor Lioense No.:
OWflER/CONTRACI'OR SIGNATURE OF DND&RSiANDING AND AGRBEML+NT
Iherebycatity thatthe setback distances proposed by this pecmit appticafion ve accurate,
and do not violate applicable ord'mances, Iules orngu]ations ofthe City of Wheat Ridge or
covenants, easertu¢h ornshictions ofrccord; thatallmeasiuemeuts shown, and sIlegations
mede are sccunte; ttiat I have read and agree to abide by stl conditioaa pe'vmted on flv.s
application md that I essume fult responsibility fa comptiance with the R'heat Riage
Building Code (U.H.C) oad sll otha appliceble Wheat Aidge Ordinances, for work uada
tLis pemrit
(owrmcxcormucrox):snars t3 p
Phone : 3 03 23 7-(:, S`11
Phone:
4L
C011St.711CtlOIl V31llE:$
Pemut Fee:$ ~d 1 •\o
Plan Review Fee:$
UseTax:$'7003 ~
Tota1:$ a &o, '/3
DESCRIPTION:
-ZLv\a•ce- DOG `~3l v ~ ,~nce
~r5~~.lt ncw 3 ~an AIL JA~-~
BUILDING DEPARTMENT USE ONLY
ZONING COMMENTS:
t1pp70V31:
7AIIlIIg:
BUILDIN6 COMMENTS:
Approval:
Pueuc Wowcs CoxMeNts:
SIC: Sq.Ft:
Occupancy: Walls: Roof: . Stories: Rcsidential Units:
Electdcal License No: PIumbing License No: Mechanical License No: 1 a g`'A
company:VJCSfiCO 1,CGA-6 G Comranr• company:WeS_~Si64.WfUjill91-~SIC
ExpirarionDate:l,i_Zq,D\A ExpirationDate: ExpixationDate: q -Zq-D~
Approval: Approval: Approval: "
(I) ltispmuitwasissued'mucordancewiththeprovisionstat[oxihmya¢applicatioumd'ueubjatbthelawsofiheStateofColondomdtotheZouing
Re;ula6oae aad Bw7diug Codw of Whut Ridge, Colorado m my wha rypGcabk ard'mancu of the CSty.
(2) Thiape2mitshaDexpueif(A)theworkwthoriuduaotcommmcedwiihiusixty(60)days6omissuedarom(B)9ubdidmgenthorindissuspendedor
lil ss mm p<rm[ expses, a new peemrtmay ee aequvea Sor a tee oTOUe-Oalf tCe 1mamt naeEUDy requiced, provided no ehanges have been or wIll be mede
in tlw origiwl p]ans aud apaiScatio¢a md auY +usPe~ion gabandoummt hat not uceedrd oae (1) yae If ehangu Lave bem m if suspeaaion or
abandonmmt ax<xda one (I) yev.fiill frua shaIl be paid for t aaw pamit
(4) NowodcofmymanaashallbedouethatvnIlahmge9iensnssalflowofwakreausingadniuagepmbkm. (5) Coahactoc ihaIl notify the Bmlding Inspucoc twmty-four (24) howa m advana far aIl iuspectlooa md ahaD rtceive writlm rypiaval ou intpectioa eud
befae prxad'mg wiffi mceesvive phues of Welab.
(6) 1'he usuanee of t peemi[ or dLe appmval of Mwings md apeci5atiws ahall mt be couswed b be a pemit Sor, uor m approval of, my viohtlon of the
pmvriaions of t6e building codea or my ofha mdinmx, hw, xule ot regula¢on. Chief Building Inspector
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (503-254-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
Date
16992
4/22/2004
Property Owner:
ROBERTA ATTENBURN
Property Address :
3350 TELLER STREET
Contractor License No. :
20724
Company: WESTCO ELECTRIC, INC.
Phone : 237-6597
Phone: 720-890-8133
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit appliration are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; Nat all measuremenls shown, and allegations
made are accurate; that I have read and a9ree to abide by all wndilions printed on lhis
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.CJ and all other applicable W he Ridge ora n;es, fonder this rmit
(OWNER)(CONTRACTOR)SIGNED DATE
Description : 150 AMP SERVICE CHANGE
ConstructionValue:
$1,100.00
Permit Fee :
$54.37
Plan Review Fee :
$0.00
Use Tax :
$13.20
Total:
$67.57
Use :
17,
k-7
BUILDING DEPARTMENT USE ONLY
ZQning '6ammanttss; SIC : Sq. Ft. :
Approval:
Zoning :
W7[lO'iiig`Comi;ftieni~
Approval:
Putiltc W6tlt#ceo'rh5nerits:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application antl is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge. Coloratlo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the vrork authorized is nol commenced within sixty (60) days fmm issue tlate or (B) the building authorized is suspended or
abandoned for a period of 126 days.
(3) If this permit ezpires, a new pertnit may ba acquired for a fee o( one-half lhe amount normally required, provided no changes have been or will be matle in the
original plans and specifcations and any suspension or abandonmeN has not exceeded one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the nalural flow of water causing a drainage problem.
(5) Contredor shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive wrilten approval on inspection card before
proceetliing with successive phases of the job.
(6) The issuance o( a permit or the approval of drawings and specifcalions shall not be construed to be a permit (or, nor an approval ot, any violation of the
provisions of the building cotles or any other orUinance, law, rule or regulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEpAR7MEN7
BUIISII!'iG Ir1SPECT10iV LTKE - 303•210-5933
„ Cl'TY OF WlIEAT RIDGE
7500 VVES7' 19Ti1 AVEIVUH
' wlIEAT AIDGE, CO 80033 - (301235-28S5)
PropeRYOwner. )etibe1+0- f})i'enbKrvA
enqMynaaTe:s: 335o -T_~j_i leq- St
Conpanor License Ao.: !SVPZL _2d'"~ a~
CompanY iel o Sfr.s r_/a
ONTE0.R'OTTAwC7'Oq SICMATURE OF 1;NDiAS7wi.'bUC.ND wGwE[MCKT
1 MrcDYCmiy " thr setMek d'uunca Wopascd by ahis pamij applicnion a<.eeurarc.
"A aoea vwhte WVfcsbk adiagoca, mM areryVdo+s W Uk Ciryot Wheu RiA~aa
mvan~s. a~eme~u a ~eaiaions d Roord0. Ow ~it msa~umnau thorrn. ma dkpians
mide arc auunk: lMt 1 asve rtaC aad .;.ce ro.6ide 6r .11 eand'w:...
pp14000n ma m.t I usume tull refpoftiiyltry far eompliane, viih de Wher Ria{a
BwldinS CoOe (U.B.C) and i11 aher appliu6k WAmi Ridae qdinmep, fur opk UnOt~
vhu oamii. ~o•
iOwNFAXCOMiRAClOR):SIGii60 d~TE y
(OwNER)(COMRACTORYPaNTED1ea&^ DATE ~
bESC1RIPrloT: l SUC,_ vn
~~rVic~P~ C~ni~
8V E~r4,*1
Builting Permit Numbu:
Daio:
Phone: 303 2-37-65?7
Phone:
Construction Vatue:$ li /00
Permll Pee:$
Plan xovicw Pee:3
Use 7'ax:5
TOtdl:f
BUILDING pEPARTIHEN7' USE ONLY
i: SiC: Sq.Ff.:
FAppr:oval:
.
s:
Approval:
Puwe woiuts cerrwrs:
Approval:
Occupancy: Waib: Raof: Stories: Residwti■1 Units:
Elaafcal License Na: PlwcWng Licenx No: MecLaaical t,icen,e No:
CamPany: Company. Compmy
Expirorion Date: Expiradon Daa: Expirroon Date:
APProval: APProvy. APDroval,
i.~.r~.
t~) 71nsp+mA~awwli~+awiwew+q~Mrvrimi~afaNinl~Mp~+bWbwk.nb~6..MbSreMCobMeWa~4ZOe~~
MquYaa~ W BrNiqCadn dM'Ma~ IliA~r CNw+bwa~l a1DnIp5WY e~av~ of Yw Ciry.
f}) T►rcD~NOMwoYRilIA)bewYw~wiaMr~wleowm~ywiiaWbld7)YpM1awimrblsal81tl1eMi~yMblitliiwlps/ya
alydad fora pmodaf I]Oq7a
Ill N~P~wa^VK+.~~e.K+MwNylesv+~Mf.~~(wda.NWdrrnwMwrWj~wra6W.Myw<WynMrsbanari~MwsOe
~Nw VV1 M~si/k+lbn rd W's~qw~o~ r~►rMe~mM M m aawdM aee (Ill+r. It cAu~n Yw Ms w i/ a~peylq~ a
+IAA-dos~ o<a4 o.e (1) yv. /+M kst OrR Oe pW tw s aew qiwi
N) Nra.4Nwymrnm~Y114~bniwriMQUNMe~nI11wN+~pn'yi7~~+KMa74m
(5) ~~~~u ~M~~ I~.R~wtisry.fwllqMrs:Mvwe6tll~e'ewMaMtl ierdre~+fse~~OS~Vri~yeslio~ed
(6) 7lrciapmeeNiqrpWunWM/wrd*(dn pW'P.iilk,oaoSMtl.e~Mae.•rwdr4• o rw.owr
Prn+uauefwMOYy<odaw..yoMWquocl....nk« C~ yhwVOf,arrial.eoaeti►e
wnhri..
3
Chief Building lnspaior
LO'd £T :Ot GOOL lL idti LS8LS£Z£0£: xej Md ~ 9h1INBJkild
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
8651
3/19/99
Praperty Owner :
Property Address : 3350 TELLER ST
Contractor License No. : 17152
Company : Precise Plumbing
Phone : 237-6597
Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by all conditions printed on this
application, and that i assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : Replace water heater, ready for inspection
Construction Value :
$460.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$23.50
Use:
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) 7his permit was issued in accordance with the provisions set forth in yopur application ana is subject to the laws of the State o! Colo2do and to the zoning
Regula[ions and Building Code of Wheat Ridye, Coloredo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the builtling authonzetl is suspentletl or
abandoned for a period of 120 days.
(3) If this permit expires, a new permd may be acquiretl for a fee of one-half the amount normally require0, provitletl no changes have been or will be made in the
original plans and specifcations and any suspension or abantlonment has not exceeAed one (t) year. If changes are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone that will chanqe the naturel flow otwater wusing a droinage problem.
(5) Contractor shall notiry ihe Builtling InspeMOr twenry-(our (24) hours in atlvance for all inspections and shall receive written approval on inspection cartl be(ore
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval ot tlrawings antl specifications shall not be construe0 to be a pertnit for, nor an approval of, any viola6on of the provisions
. of the building codes +yfqrtlinance, law, rule or regulation.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
• ProPerty Address : 33 S o 7`~,, S~ . Phone : 2~?- ~2
Contrector License No. f-Z
Company :/0- a c!s c- Phone : S~f~ o S- sr/
i OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
' t AaMy xrtdy that the setbatlt tlistantes proppsey py Nis pertmt a0ouC7tiOn aro sCWrttl.
and Oo not vrobte apDlicabN oroinanaes. nuss w royulatrory of fhe Cily W Wheat RWpe a
eownann. easamenn a reamctwm ol rooord: that an meuwsrtwms shwim. anp aNpqpns
rmaos aro aerynu: tnat 1 haw rsaa art0 11,041,
W by all conapian WmWd on Mis
appYCadon. ana mst 1 usume Wq nwomowna w'n y,~ R~ guyty~y
Cade (u.B.c.) ana au othx app~iabN IMr~t aam,noss. ror wwk wiew My Wmit.
(ONMER)(CONTRACTOR) SIGNED v ~ pATE Oescnption : r-V/w c-t u: 07YO lfw-,O- . ~r.•.~ ,C'e,,. i n5,V.- ~/,~o.,
~IffL'EDh'atfifiti~'J
Approval :
Zoning :
at gdm?:mom
Approval
~ blldt°_~rMonTsg.
Apprcval :
Occupancy : Walis
9UILDING DEPARTMENT USE ONLY
Roof : Stories : Residential Units :
construction Value : yGp
Pemut Fee : a I SO
Use Tax:.~~--5 Pc'.mvYs
Toral : 23 S n
Electncal License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expira8on Date :
Approval :
~P,f~ris:RSqu(reii=
Expi2tlon Date :
Approval :
Expiradon Date :
Approval :
j PIlR= Rftirad." '1
ja rFMAOM uiM.~
(t7 R u oemut was isww o aemmanea rnm tna D~ownns sa brm m yoour anWeaoon ana o wqw ro tM uwa W tM State W Coloraao w b Uis Zmirp
equwuons ano BwWmg CoCa d VMaat RWq@, Caonoo a arry qnar aoWinOb eromanpt ol tna Cily.
;2) 7n~s oarmrt snyi azoue e (n) ma wara aumonzaa u roi commenoea u,wn
aeuwoneo ror a pai of 120 aya u.ry (eo) ays hom usw aau a(e) ms euWwinq aunionzea usworwa a
wo
(7) If tMt psrmrt axaros. a naw psnm may p, aequpp fy s IN of on@-"M IM amount normaYy mQwreA, pprqp np
drainge
0n9m1 Wana anC a0lCfiCJUOnf af10 il11' fY3Wn7qn Of iGall00nrtyn[ Nf nol *
!YOlOOf On0 I11 YQY. MI hQf Y4tl DO Ontl kf i nM' 0lf1M. IfCN0~0 OM (t) YlY. 11 C71Npy wry miCs W ~ vYlpwym p/ s7Yb01YnMflt
(4) No wOrk of arry mannsr StiaN pp ppM pul wMl tllinqa O1e nilu(il llow of wabt nuLnq a OniMqa pf001em,
(5) Conaanor sron rouN me Buiwinq inaoeaa nvanty-four 1741 Mours m awanee fa ai mspacoons ara tnW rae" wntten ao0rovai on msWmon wro DNd~
P/~oee0nnq wM suCGessrve oM30f 0/ Mf pp.
(6) TTe ufwnce o! a DefrtM or No ipDfOVai OI Otawingi an0 SDlaRnpons inill not D! Cpn3We0 b D0 7 pGmM IpI. W an oppnpysl pf. am„wpappn a pN pOWqly
0f pl! DwI0in9 (bpl5 0/ 1ny ONQf plClnillCl, law. N:t 0/!lyWllql.
Chief Bwltling Inspecror
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND NUIYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION